Barriers and facilitators to program directors' use of the medical education literature: a qualitative study.

Knowledge translation Medical education literature Postgraduate training

Journal

BMC medical education
ISSN: 1472-6920
Titre abrégé: BMC Med Educ
Pays: England
ID NLM: 101088679

Informations de publication

Date de publication:
19 Jan 2022
Historique:
received: 08 04 2021
accepted: 10 12 2021
entrez: 20 1 2022
pubmed: 21 1 2022
medline: 22 1 2022
Statut: epublish

Résumé

It is unclear how often frontline clinical teachers are using this literature and its evidence base in teaching and assessment. Our study purpose was to examine postgraduate program director perspectives on the utilization and integration of evidence-based medical education literature in their teaching and assessment practices. The authors conducted semi-structured telephone interviews with a convenience sample of current and former program directors from across Canada. Interviews were transcribed and analyzed inductively to distil pertinent themes. In 2017, 11 former and current program directors participated in interviews. Major themes uncovered included the desire for time-efficient and easily adaptable teaching and assessment tools. Participants reported insufficient time to examine the medical education literature, and preferred that it be 'synthesized for them'. (i.e., Best evidence guidelines). Participants recognised continuing professional development and peer to peer sharing as useful means of education about evidence-based tools. Barriers to the integration of the literature in practice included inadequate time, lack of financial compensation for teaching and assessment, and the perception that teaching and assessment of trainees was not valued in academic promotion. Faculty development offices should consider the time constraints of clinical teachers when planning programming on teaching and assessment. To enhance uptake, medical education publications need to consider approaches that best meet the needs of a targeted audiences, including frontline clinical teachers. This may involve novel methods and formats that render evidence and findings from their studies more easily 'digestible' by clinical teachers to narrow the knowledge to practice gap.

Sections du résumé

BACKGROUND BACKGROUND
It is unclear how often frontline clinical teachers are using this literature and its evidence base in teaching and assessment. Our study purpose was to examine postgraduate program director perspectives on the utilization and integration of evidence-based medical education literature in their teaching and assessment practices.
METHODS METHODS
The authors conducted semi-structured telephone interviews with a convenience sample of current and former program directors from across Canada. Interviews were transcribed and analyzed inductively to distil pertinent themes.
RESULTS RESULTS
In 2017, 11 former and current program directors participated in interviews. Major themes uncovered included the desire for time-efficient and easily adaptable teaching and assessment tools. Participants reported insufficient time to examine the medical education literature, and preferred that it be 'synthesized for them'. (i.e., Best evidence guidelines). Participants recognised continuing professional development and peer to peer sharing as useful means of education about evidence-based tools. Barriers to the integration of the literature in practice included inadequate time, lack of financial compensation for teaching and assessment, and the perception that teaching and assessment of trainees was not valued in academic promotion.
DISCUSSION CONCLUSIONS
Faculty development offices should consider the time constraints of clinical teachers when planning programming on teaching and assessment. To enhance uptake, medical education publications need to consider approaches that best meet the needs of a targeted audiences, including frontline clinical teachers. This may involve novel methods and formats that render evidence and findings from their studies more easily 'digestible' by clinical teachers to narrow the knowledge to practice gap.

Identifiants

pubmed: 35045845
doi: 10.1186/s12909-022-03104-4
pii: 10.1186/s12909-022-03104-4
pmc: PMC8772128
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

45

Informations de copyright

© 2022. The Author(s).

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Auteurs

Asif Doja (A)

Department of Pediatrics, Children's Hospital of Eastern Ontario, 401 Smyth Rd, Ottawa, ON, K1H 8L1, Canada. adoja@cheo.on.ca.

Carolina Lavin Venegas (C)

Children's Hospital of Eastern Ontario Research Institute, 401 Smyth Rd, Ottawa, ON, K1H 8L1, Canada.

Lindsay Cowley (L)

Department for Innovation in Medical Education Research Support Unit, University of Ottawa, 451 Smyth Rd, Ottawa, ON, K1H 8M5, Canada.

Lorne Wiesenfeld (L)

University of Ottawa, 451 Smyth Rd, Ottawa, ON, K1H 8M5, Canada.

Hilary Writer (H)

Department of Pediatrics, Children's Hospital of Eastern Ontario, 401 Smyth Rd, Ottawa, ON, K1H 8L1, Canada.

Chantalle Clarkin (C)

Department of Virtual Mental Health and Outreach, Centre for Addiction and Mental Health, 1001 Queen St West, Toronto, Ontario, M6J 1H4, Canada.

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Classifications MeSH